BLUE MOON SENIOR COUNSELING OF ILLINOIS LLC
NPI 1841562931
Social Worker - Clinical in Plainfield, IL

Q: What is Blue Moon Senior Counseling Of Illinois LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since February 03, 2012

10204 BODE ST STE B, PLAINFIELD, IL 60585(855) 241-7160(954) 465-5142 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Blue Moon Senior Counseling Of Illinois Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE MOON SENIOR COUNSELING OF ILLINOIS LLC (NPI 1841562931) is a healthcare organization registered as a clinical in Plainfield, Illinois and active in the NPI registry since February 2012. The organization lists Melanie Donohue, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1841562931

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameBLUE MOON SENIOR COUNSELING OF ILLINOIS LLC

Location Address10204 BODE ST STE BPlainfield, IL 60585-9813

Mailing Address10204 Bode St Ste BPlainfield, IL 60585-9813 · (855) 241-7160 · Fax (954) 324-8354

Phone(855) 241-7160

Fax(954) 465-5142

Organization SubpartNo

Authorized OfficialMelanie DonohueAuthorized Official · (855) 241-7160

Enumeration DateFebruary 3, 2012

Last NPPES UpdateSeptember 20, 2019

✔ NPI 1841562931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

10204 BODE ST STE B, Plainfield, IL 60585

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Other Identifiers 1

OtherIL7187IL · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blue Moon Senior Counseling Of Illinois Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 56 clinicians reassign Medicare billing to Blue Moon Senior Counseling Of Illinois LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Clinical Social Worker52

Mental Health Counselor3

Anesthesiology1

Nearest to this location (20)

See all 56

Donna Swanson, LCSW

Clinical Social Worker

NPI 1215328190

10204 BODE ST STE B
Plainfield, IL 60585

(855) 241-7160

✔ PECOS✔ Accepts MedicareSame address

Yousuf Sayeed, M.D.

Anesthesiology

NPI 1932155926

2940 ROLLINGRIDGE RD
Naperville, IL 60564

(630) 967-6000

✔ PECOS✔ Accepts Medicare1.9 mi

Susan Haugh, LCSW

Clinical Social Worker

NPI 1639906290

70 S RIVER ST
Aurora, IL 60506

(630) 844-2662

✔ PECOS✔ Accepts Medicare5.7 mi

Dominika Ventucci, LCSW

Clinical Social Worker

NPI 1558865741

703 LLOYD LN
North Aurora, IL 60542

(773) 816-9804

✔ PECOS✔ Accepts Medicare8.9 mi

Mary Morrissette, LCSW

Clinical Social Worker

NPI 1457009185

124 BERTRAM DR UNIT K
Yorkville, IL 60560

(630) 608-3816

✔ PECOS✔ Accepts Medicare10 mi

Katrina Dolle, LCSW, CADC

Clinical Social Worker

NPI 1497179667

2303 SUNNYDALE DR
Woodridge, IL 60517

(630) 395-9407

✔ PECOS12 mi

Jennifer Beckman, LCSW

Clinical Social Worker

NPI 1366735250

1000 REMINGTON 16151 WEBER ROAD SUITE 101
Cresthill, IL 60403

(815) 773-7827

✔ PECOS✔ Accepts Medicare12 mi

Jennifer Unger Kroc, MSW, LCSW

Clinical Social Worker

NPI 1912556671

1250 EXECUTIVE PL STE 404
Geneva, IL 60134

(630) 542-9007

✔ PECOS✔ Accepts Medicare13 mi

Erika Czemerys Wackenhut, LSW

Clinical Social Worker

NPI 1619387800

801 ANDERSON BLVD
Geneva, IL 60134

(630) 667-5193

✔ PECOS✔ Accepts Medicare14 mi

Joy Pascoe, LCSW

Clinical Social Worker

NPI 1871997494

2455 DEAN ST UNIT 3G
St Charles, IL 60175

(630) 517-3033

✔ PECOS✔ Accepts Medicare16 mi

Patience Odame, MSW

Clinical Social Worker

NPI 1407129398

440 S FINLEY RD
Lombard, IL 60148

(630) 682-7400

✔ PECOS✔ Accepts Medicare17 mi

Jose Malagon

Clinical Social Worker

NPI 1437625183

1784 WHIRLAWAY CT
Glendale Heights, IL 60139

(219) 629-4416

✔ PECOS18 mi

Kristine Smith, LCSW

Clinical Social Worker

NPI 1336679455

25224 W EAMES ST STE C
Channahon, IL 60410

(815) 467-8181

✔ PECOS✔ Accepts Medicare18 mi

Erin Serrano, LCSW

Clinical Social Worker

NPI 1538635818

700 S SPRING RD
Elmhurst, IL 60126

(952) 393-2028

✔ PECOS20 mi

Kristin Loerop, LCSW

Clinical Social Worker

NPI 1578159380

651 S PARKSIDE AVE
Elmhurst, IL 60126

(630) 302-9104

✔ PECOS✔ Accepts Medicare20 mi

Lauren Wagner, LSW

Clinical Social Worker

NPI 1831862747

11824 SOUTHWEST HWY STE 230
Palos Heights, IL 60463

(847) 493-3650

✔ PECOS✔ Accepts Medicare22 mi

Solangel Lozada, LCSW

Clinical Social Worker

NPI 1477261477

5000 S 5TH AVE
Hines, IL 60141

(708) 969-7493

✔ PECOS24 mi

Marilyn Ciaramitaro, MSW, MA, LCSW, ACSW

Clinical Social Worker

NPI 1194030551

15127 S 73RD AVE SUITE G
Orland Park, IL 60462

(708) 845-5500

✔ PECOS✔ Accepts Medicare24 mi

Haley Grasso-Viktora, LCSW

Clinical Social Worker

NPI 1902359110

17732 OAK PARK AVE
Tinley Park, IL 60477

(708) 342-1773

✔ PECOS✔ Accepts Medicare25 mi

Kurt Jackson

Mental Health Counselor

NPI 1104178649

8044 S RACINE AVE
Chicago, IL 60620

(773) 723-9291

✔ PECOS✔ Accepts Medicare31 mi

See all 56 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Moon Senior Counseling Of Illinois LLC's NPI number?

The NPI number for Blue Moon Senior Counseling Of Illinois LLC is 1841562931. It was assigned to this organization in the NPPES registry on February 3, 2012.

Where is Blue Moon Senior Counseling Of Illinois LLC located?

Blue Moon Senior Counseling Of Illinois LLC is located at 10204 Bode St Ste B, Plainfield, IL 60585. The listed phone number is (855) 241-7160.

What is Blue Moon Senior Counseling Of Illinois LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Blue Moon Senior Counseling Of Illinois LLC enrolled in Medicare?

Yes. Blue Moon Senior Counseling Of Illinois LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blue Moon Senior Counseling Of Illinois LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 56 clinicians in 3 Medicare specialties reassign their Medicare billing to Blue Moon Senior Counseling Of Illinois LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (52), Mental Health Counselor (3) and Anesthesiology (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blue Moon Senior Counseling Of Illinois LLC was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.